SPECTRUM WELLNESS LLC (NPI# 1821189564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821189564 |
| Entity Type | Organization |
| Organization Name | SPECTRUM WELLNESS LLC |
| Practice Address |
2321 Huntingdon Pike Huntingdon Valley PA 19006-6109 |
| Practice Telephone | 2159388500 |
| Practice Fax Number | 2519388586 |
| Mailing Telephone | 2159388500 |
| Mailing Fax Number | 2519388586 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2008-04-16 |
| Authorized Official Name | DR. KENNETH M. GOLDMAN (CHIROPRACTIC DOCTOR) |
| Authorized Official Telephone | 2159388500 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC005180L | PA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CIGNA | 0043800 | 01 | |
| HIGHMARK BLUE SHIELD | 1818597 | 01 | |
| INDEPENDENCE BLUE CROSS | 2674216000 | 01 |
| Street Address |
2321 HUNTINGDON PIKE |
| City | HUNTINGDON VALLEY |
| State | PA |
| Zip Code | 19006-6109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871809913 | Timothy Kim, Pllc | Optometrist | 2321 Huntingdon Pike, Huntingdon Valley, PA 19006-6109 | 2010-08-26 |
| 1336453257 | Timothy Kim | Optometrist | 2321 Huntingdon Pike, Huntingdon Valley, PA 19006-6109 | 2010-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349209 | Nicole Poncia Slp LLC | Speech-Language Pathologist | 2011 Williamsburg Rd., Huntingdon Valley, PA 19006 | 2020-06-04 |
| 1497248298 | Heavenly's Home Care LLC | In Home Supportive Care | 67 Buck Rd Ste B53, Huntingdon Valley, PA 19006 | 2018-06-07 |
| 1740721919 | Staton Health LLC | In Home Supportive Care | 111 Buck Rd, Unit 300, Suite 9, Huntingdon Valley, PA 19006 | 2017-03-20 |
| 1407204407 | Jacqueline Russak-loftus | Social Worker | 727 Old Welsh Rd, Huntington Valley, PA 19006 | 2016-05-31 |
| 1720490162 | Pennsylvania Home Care Assistance Agency, Inc | Case Management | 2600 Philmont Ave Ste 405, Huntingdon Valley, PA 19006 | 2014-05-20 |
| 1104255603 | Javad Mohsenian | Psychiatry & Neurology | 320 Moreland Road, Huntingdon Valley, PA 19006 | 2013-11-05 |
| 1013270123 | Donna Marie Salvucci | Psychologist | 521 Moredon Road, Holy Redeemer Counseling Clinic, Huntingdon Valley, PA 19006 | 2012-06-22 |
| 1962712125 | Dentex Dental Mobile, Inc | Dentist | 3035 Franks Rd, Huntingdon Valley, PA 19006 | 2010-10-20 |
| 1316255938 | Superior Ems Ambulance LLC | Ambulance | 85 C Tomlinson Road, Huntingdon Valley, PA 19006 | 2010-09-16 |
| 1194958777 | Leader Ambulance, Inc | Ambulance | 27 Tomlinson Road, Suite 203, Huntingdon Valley, PA 19006 | 2009-08-28 |
| Find all providers in zip 19006 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588856108 | Angelica Giverts | Chiropractor | 111 Buck Rd, Office 100, Suite 1, Huntingdon Valley, PA 19006-1900 | 2007-08-16 |
| 1699987990 | John Todd Ritchie | Chiropractor | 243 Coachlight Ter, Huntingdon Valley, PA 19006-3012 | 2007-05-07 |
| 1932227204 | Joseph C Anzalone | Chiropractor | 1810 County Line Rd, Huntingdon Valley, PA 19006-1720 | 2007-03-26 |
| 1013041656 | Joseph Y Kwon | Chiropractor | 1950 County Line Rd, Huntingdon Valley, PA 19006-1738 | 2007-03-15 |
| 1821142001 | Neil Howard Hollander | Chiropractor | 720 Lisa Cir, Huntingdon Valley, PA 19006-2223 | 2007-01-23 |
| 1801973144 | Michael Maurice Burak | Chiropractor | 2579 Huntingdon Pike, Huntingdon Valley, PA 19006-6113 | 2006-11-01 |
| 1528074408 | Heath Jeffrey Epstein | Chiropractor | 2162 County Line Rd, Huntingdon Valley, PA 19006-1740 | 2006-07-31 |
| 1053351734 | Craig L Biddle | Chiropractor | 2600 Philmont Avenue, Suite 322, Huntingdon Valley, PA 19006 | 2006-06-08 |
| 1306137229 | Medscope Family Care | Chiropractor | 73 Buck Rd, Huntingdon Valley, PA 19006-1560 | 2011-04-26 |
| 1629289194 | Huntingdon Valley Family Chiropractic Centre | Chiropractor | 2579 Huntingdon Pike, Huntingdon Valley, PA 19006-6113 | 2007-05-25 |
| Find all providers in HUNTINGDON VALLEY | ||||
| City | HUNTINGDON VALLEY |
| Zip Code | 19006 |
Please comment or provide details below to improve the information on SPECTRUM WELLNESS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.